This doctor is very stable

Chapter 192 New team run-in

Walking into the operating room, Gu Tianyi consciously stood on the patient's left side first.

He was very relieved to see Lin Ran standing in the position of the chief surgeon, and it was the attending doctor Zhao Xiaolei who got the second assistant of the operating mirror.

Although it is a laparoscopic surgery, as long as you can see the surgical field of view in the operating room, there is still a difference between participating on the operating table and watching from the sidelines.

Lin Ran and the other nurses put on gloves, Gu Tianyi smiled and said, "Let's get started!"

The patient hasn't been anesthetized yet, so he can't say too much. Lin Ran nodded and looked at the middle-aged anesthetist opposite, "Mr. Huang, please give me the anesthesia, general anesthesia, two hours."

After all, it was liver cancer surgery, and Lin Ran didn't dare to be 100% sure that there would be no accidents. It would be safer to spend more time under anesthesia.

Huang Yuejin nodded and stepped forward to anesthetize her.

The patient lying on the operating table did not make a sound, but the sweat on his head proved that he was very nervous.

After the anesthetic was given, the patient fell into a coma.

Lin Ran started to do the aseptic work before the operation.

Generally speaking, old chief surgeons like to leave the chores of preoperative disinfection to assistants, but Lin Ran is only a small doctor now, the first assistant is the director, and the second assistant is the attending doctor, so it is not suitable for anyone, so he can only do it by himself.

Speaking of which, Lin Ran really didn't enjoy the benefits of being the chief surgeon!In Hengshan, Boss Xu watched over him, but when he came to Zhongshan Third Hospital, Boss Gu, the director of the department, followed him personally. It was too difficult.

Lin Ran was doing aseptic disinfection work, Gu Tianyi said cheerfully: "You have read Lin Ran's operation plan, so you can just follow the operation plan. If you have any questions, you can ask, or you don't You can also choose your own way of thinking, you are the chief surgeon of this operation, and you don’t want me to be the director of the department or a superior doctor, and the chief surgeon on the operating table is the biggest.”

Gu Tianyi was a little afraid that Lin Ran would not be able to let go!

Lin Ran raised his head and nodded. He had also read the previous operation plan, and there was indeed no major problem.

The surgical plan of Yitai Surgery is ultimately to solve three problems.

The visual field exposure during the operation, the difficulty of the operation and the resection of the final lesion.

The field of view of laparoscopic surgery depends on the position of laparoscopic puncture.

The ease of operation and lesion resection all depend on the location of the operation well.

Whether it is the insertion position of the laparoscope or the position of the operation well depends on the lesion site of the patient.

Like this operation, the location of the patient's cancer and the size of the cancer lesion will affect the location of the puncture and the location of the well.

And different chief surgeons have different choices for the position.

The surgical plan is ultimately suitable for the surgeon, and the ultimate result of the surgical plan is to benefit the patient, so the specific plan is determined by the surgeon.

But whether it can make the operation smoother and benefit the patients more is the standard to measure the quality of a surgical plan.

Of course, Lin Ran is happy to have autonomy. It is not impossible to follow the previous plan, but Lin Ran has his own understanding of the operation. He thinks that fine-tuning it is more suitable for him, and the operation will be more comfortable, so This autonomy is still very important.

"Thank you, Teacher Gu, for your understanding."

After finishing the aseptic disinfection work, he looked up and smiled.

The nurse put on the hole surgical towel.

Boss Gu nodded, "Since you are asked to be the chief surgeon, it is natural to let you have room to display it. If you follow the assembly line, wouldn't it kill your talent?"

Lin Ran stretched out his hand and said, "Then, teacher, I won't be polite...Surgical pen."

"Let's get started!" Seeing Lin Ran's quick answer, Boss Gu was not surprised. It is normal for young people to have their own understanding of surgery, and it is this understanding that allows every surgery to have room for improvement. Sticking to the rut sometimes kills room for improvement.

Lin Ran took the surgical pen.

The first thing to determine is the puncture position of the laparoscope, and the second is the selection of the drilling position.

After Lin Ran finished marking, Boss Gu nodded.

The selection of these positions, Lin Ran obviously did not follow the surgical plan.

But Director Gu also went through it in his mind first. Such a surgical approach layout is not impossible, but whether the specific effect will help the operation depends on the specific operation.

"Puncture needle."

Lin Ran is naturally confident in his layout design, and his understanding of the abdominal anatomy is not comparable to that of ordinary people. Every time he acquires a skill about abdominal surgery, it will deepen his different understanding of abdominal anatomy.

The combination of multiple skills gave Lin Ran a high level of understanding of the human abdominal cavity.

Puncture the puncture needle along the marked position, and inflate to establish pneumoperitoneum.

Pull out the puncture needle and insert it into the laparoscope to adjust the field of view of the laparoscope.

Lin Ran did it in an orderly manner, making the little doctors in the operation watch with gusto.

After the field of view of the laparoscope was clear, Boss Gu nodded as he looked at the field of view of the abdominal cavity exposed on the display screen of the laparoscope.

Obviously, the laparoscopic puncture chosen by Lin Ran is also good.

The vision was established successfully, Lin Ran started to dig the well without any hesitation.

The first, second, third, fourth and third stages of laparoscopic surgery are more difficult, so there is an additional operation well for the assistant.

If the operation of other minor surgical assistants is enough.

Time passed, and the surgery was progressing steadily.

Lin Ran and Gu Tianyi respectively inserted the required instruments from the operating well into the patient's abdominal cavity.

The main job is to disband Lian Lin Ran, and it is the job of an assistant boss to guide the exposure of the laparoscopic field of view and assist Lin Ran.

The operation officially entered the operation stage, and the sweat slowly came out from Boss Gu's head.

Lin Ran's operation was really embarrassing!
Whether it was the freeing of the hepatobiliary triangle or the freeing of the hepatic ligament, Lin Ran did it quickly and steadily.

Sometimes even Boss Gu can't keep up with the rhythm!He had a feeling of being chased away by Lin Ran.

The assistant can't keep up with the rhythm, and will obviously slow down the speed of the chief surgeon!And sometimes it even affects the operation of the main knife.

The anatomy and dissociation work uses sharp instruments. When the main knife goes down with the scissors, if the endoscopic field of view guidance does not keep up, it will cause blind spots in the field of vision, which may cause serious mistakes, such as massive bleeding, severe bile leakage, and wrong ligaments.

Even the attendant who held the mirror beside him felt the pressure. Lin Ran's rhythm was too fast, and he, the mirror supporter, couldn't keep up.

Fortunately, Lin Ran's control ability is super strong, whenever they can't keep up and there is a certain exposed blind spot, he can brake in time, and then let them have time to make corresponding adjustments.

But the two of them felt that they were holding Lin Ran back!

The problem of cooperation became the biggest failure of this operation, but after all, it was the first time they cooperated, and it was not bad that they did not make serious mistakes and did not cause unnecessary side damage to the patient.

Of course, Lin Ran also missed Qian Xiaopang and Boss Xu.

I didn't think of it when I was in Hengshan City Hospital before, but now other operating tables think of them.

Wang Nannan looked like he was watching a fantastic sci-fi blockbuster movie, but due to the bad signal, the screen froze and froze, which made people feel headache and could not stop!
Several times, Wang Nannan wanted to push Boss Gu away and go on her own.

Of course, she knew in her heart that even she might not be able to keep pace with Lin Ran. After all, Boss Gu was already one of the most talented players outside their livers.

Even he couldn't adapt to Lin Ran's high-speed surgery, let alone be inferior to Boss Gu's own self, and she obviously couldn't do the same either!
But it didn't hinder her uncomfortable senses and the urge to try it.

Others have this idea more or less, but no one dares to take action.

If it is worse than Boss Gu and Zhao Zhizhi after playing, it would be a shame!

Seeing the tense atmosphere in the operation, Huang Yuejin, a well-informed old anesthetist, spoke up.

"Doctor Xiao Lin, I really didn't think of it! It's hidden! But your pace is a bit too fast, it seems that Lao Gu is in a hurry."

Huang Yuejin laughed, Lin Ran's heart skipped a beat when he heard it.

He patronizes himself to have fun.

After a pause, Lin Ran raised his head to look at Boss Gu, and started to slow down.

But at this moment, Boss Gu said, "Lin Ran, don't listen to Huang Laowei, follow your own rhythm, I don't believe you can keep up."

This is the pride of an old doctor. Although I haven't run in before, it is a shame that the assistant can't keep up with the rhythm of the chief surgeon!

If Lin Ran was their superior doctor, they should be scolding at this time!
No chief surgeon likes an assistant who slows down, and likewise no assistant is willing to slow down the chief surgeon.

Just like a man can't say no is a truth.

Lin Ran nodded. In the high-speed and effective rhythm of the operation again, Boss Gu could no longer care about the sweat on his forehead.

As the operation progressed, Gu Tianyi also gradually found the feeling, and the rhythm slowly caught up.

It was Zhao Xiaolei who had a hard time holding up the mirror, and he was scolded repeatedly for holding up a laparoscope.

Since when is it so difficult to hold mirrors!

But at the same time, he also cheered up.

It's not shameful to be scolded, but the shameful thing is that you don't know how to improve after being scolded!
As the operation entered the post-operative stage, Lin Ran felt that it was getting smoother.

Soon the right lobe of the patient's liver was free and exposed, and Lin Ran withdrew the fine scissors.

Boss Gu heaved a sigh of relief, this operation was almost exhausting for him alone.

But at the same time, he hadn't experienced this kind of tension and strain on the operating table for a long time.

He also knew very well in his heart that only this sense of tension and effort could improve their surgical techniques again.

Thinking of this, Boss Gu felt a little hopeful in his heart.

"Wipe your sweat."

Boss Gu and Lin Ran shouted in unison.

Zhao Xiaolei on the side just opened his mouth only to realize that he was one step slower.

After a short rest, the operation continued again.

Lin Ran poked the ultrasonic scalpel and tweezers out of the patient's abdominal cavity. Boss Gu cooperated with him to raise the upper edge of the patient's right liver. Zhao Xiaolei held the endoscope tightly for fear of shaking.

"Turn on the ultrasonic knife."

Holding the ultrasonic knife in his hand, Lin Ran stared closely at the field of view on the display screen of the endoscope.

The ultrasonic knife was advanced steadily and at a uniform speed, and the patient's diseased liver segment was cut off in a steady manner according to Lin Ran's expectation.

After cutting, Lin Ran smiled: "Turn off the ultrasonic knife."

He is famous for his one-shot skills. With the assistance of the system's diagnosis assistance function, the patient's liver is a 3D colorful model. As long as the free exposure is proper, he can cut it any way he wants?
(End of this chapter)